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I will read again and mull over and I will find the link and post the article my daughter read

Although SCD is rare, its symptoms typically begin with sensory disturbances in the hands, followed by reduced vibration sense, ataxic gait, and pathological reflexes such as hyperreflexia and a positive Babinski sign [4]

REHs could meet the reporting requirements by submitting data via QRDA I files, zero denominator declaration, or case threshold exemptions

Several commenters encouraged CMS to adopt malnutrition quality measures, such as the Malnutrition Care Score (MCS, formerly known as the Global Malnutrition Composite Score) currently used in the Hospital Inpatient Quality Reporting (IQR) program, for the Hospital OQR, REHQR, and ASCQR programs